NPI 1003629627
Lynsara Gwanvoma
Practice location
- Address
- 9512 Lanham Severn Rd, Lanham, MD 20706-2624
- Phone
- (404) 247-2696
- Fax
- (404) 247-2696
Registered specialties
Case Manager/Care Coordinator
Primary
Registry record
- NPI
- 1003629627
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Jan 2025
- Record last updated
- 28 Jan 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.